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手部近节指间关节急性创伤后急性钙化性关节炎:罕见病例。

Acute calcific periarthritis in a proximal interphalangeal joint of the hand after acute trauma: a rare case.

机构信息

Department of Orthopedic Surgery, Centro Hospitalar Universitário de Santo António. Porto, Portugal.

School of Medicine and Biomedical Sciences, University of Porto.

出版信息

Acta Ortop Mex. 2024 Jan-Feb;38(1):57-59.

Abstract

Acute calcific periarthritis (ACP) in the interphalangeal joints of the hand is rare, with less than 100 cases reported. A rare case of ACP in a proximal interphalangeal (PIP) joint of the hand, in a young black woman, after acute trauma, is presented. She experienced severe pain and limited range of motion, and was medicated with an oral corticoid, which was followed by a rapid resolution of the symptoms. At six months, there were no signs of clinical or radiographic recurrence. Recognition of ACP allows for avoiding unnecessary treatments. In this case, treatment with corticoids might have played a role in a faster recovery.

摘要

手部指间关节急性钙化性关节炎(ACP)罕见,报道病例不足 100 例。本文报告 1 例年轻黑人女性手部近侧指间关节(PIP)发生 ACP 的罕见病例,该患者有急性创伤史,表现为严重疼痛和活动范围受限,给予口服皮质类固醇治疗后症状迅速缓解。6 个月时,无临床或影像学复发迹象。认识到 ACP 可避免不必要的治疗。在本例中,皮质类固醇治疗可能发挥了更快恢复的作用。

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